TITLE

Physician support for diabetes patients and clinical outcomes

AUTHOR(S)
Gensichen, Jochen; Von Korff, Michael; Rutter, Carolyn M.; Seelig, Michelle D.; Ludman, Evette J.; Lin, Elizabeth H. B.; Ciechanowski, Paul; Young, Bessie A.; Wagner, Edward H.; Katon, Wayne J.
PUB. DATE
January 2009
SOURCE
BMC Public Health;2009, Vol. 9 Issue 1, p367
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Physician practical support (e.g. setting goals, pro-active follow-up) and communicative support (e.g., empathic listening, eliciting preferences) have been hypothesized to influence diabetes outcomes. Methods: In a prospective observational study, patients rated physician communicative and practical support using a modified Health Care Climate Questionnaire. We assessed whether physicians' characteristic level of practical and communicative support (mean across patients) and each patients' deviation from their physician's mean level of support was associated with glycemic control outcomes. Glycosylated haemoglobin (HbA1c) levels were measured at baseline and at follow-up, about 2 years after baseline. Results: We analysed 3897 patients with diabetes treated in nine primary care clinics by 106 physicians in an integrated health plan in Western Washington, USA. Physicians' average level of practical support (based on patient ratings of their provider) was associated with significantly lower HbA1c at follow-up, controlling for baseline HbA1c (p = .0401). The percentage of patients with "optimal" and "poor" glycemic control differed significantly across different levels of practical support at follow (p = .022 and p = .028). Communicative support was not associated with differences in HbA1c at follow-up. Conclusion: This observational study suggests that, in community practice settings, physician differences in practical support may influence glycemic control outcomes among patients with diabetes.
ACCESSION #
45197526

 

Related Articles

  • SELF MANAGEMENT AND THERAPY ADHERENCE IN TYPE 2 DIABETICS: EFFECT OF WIFE INVOLVEMENT IN THE EDUCATIONAL PROGRAMME. Bastos, F.; Lopes, C. // Journal of Epidemiology & Community Health;Aug2004 Supplement 1, Vol. 58, pA8 

    Diabetes is a major public health issue. Its frequency is increasing and it is responsible for high mortality and large amounts of potential years of life lost. Diabetics' education is essential to promote self core activities and adherence to adequate preventive guidelines. The involvement of...

  • Prepaid coordinated care for patients with diabetes: practices and patients bear the risks. Pritchard, Douglas A. // Medical Journal of Australia;6/6/2011, Vol. 194 Issue 11, p599 

    The article contrasts the prepaid method of funding coordinated care for patients with diabetes in Australia with the way income is generated by practices. Managing funds, complexity of practice consultations and cost allocation are some of the challenges for practices taking on coordinated...

  • Supplement support for glucose stability.  // Alive: Canada's Natural Health & Wellness Magazine;Nov2008, Issue 313, p168 

    The article lists several nutritional supplements that can help regulate blood sugar levels, including chromium, conjugated linoleic acid and Chia seed.

  • ACCORD Glycemia Results Continue to Puzzle. Boyko, Edward J. // Diabetes Care;May2010, Vol. 33 Issue 5, p1149 

    The author reflects on the findings of the Action to Control Cardiovascular Disease in Diabetes (ACCORD) glycemic control study. A study by M. Riddle and colleagues attempts to explain whether features of glucose control contribute to the higher observed death rate in the intensive compared with...

  • Nurse-Community Health Worker Team Improves Diabetes Care in American Samoa. DEPUE, JUDITH D.; DUNSIGER, SHIRA; SEIDEN, ANDREW D.; BLUME, JEFFREY; ROSEN, ROCHELLE K.; GOLDSTEIN, MICHAEL G.; NU'USOLIA, OFEIRA; TUITELE, JOHN; MCGARVEY, STEPHEN T. // Diabetes Care;Jul2013, Vol. 36 Issue 7, p1947 

    OBJECTIVE--To evaluate the effectiveness of a culturally adapted, primary care-based nurse-community health worker (CHW) team intervention to support diabetes self-management on diabetes control and other biologic measures. RESEARCH DESIGN AND METHODS--Two hundred sixty-eight Samoan participants...

  • CDPHP launches weight management for kids.  // Hudson Valley Business Journal;5/16/2005, Vol. 16 Issue 10, p18 

    The article reports that Capital District Physicians' Health Plan Inc. (CDPHP) has launched KidPower, a weight management program targeting children ages five to 17 who are enrolled with CDPHP. The health plan saw the growing epidemic of childhood obesity and created KidPower program designed to...

  • Control to Goal.  // British Journal of Community Nursing;Dec2005, Vol. 10 Issue 12, p581 

    The article reports that the Global Partnership for Effective Diabetes Management has launched global recommendations designed to help physicians to achieve recommended treatment goals for diabetes. More than sixty percent of patients with type 3 diabetes currently have glucose levels above the...

  • Saddle up.  // GP: General Practitioner;7/22/2005, p13 

    The article reports that Tyneside general practitioner, Peter Ward has accused the British Medical Association of scoring a "public health own goal" when it backed a call to make wearing helmets compulsory for cyclists. A similar law in New Zealand led to a 22 per cent fall in the number of...

  • Treatment of Hypertension in Type 2 Diabetes. Padilla, Ricardo; Mehler, Philip S. // Journal of Women's Health & Gender-Based Medicine;Nov2001, Vol. 10 Issue 9, p897 

    Hypertension is one of the most common medical conditions in the United States, affecting 50 million American adults and accounting for one of four physician office visits. It is often undetected and undertreated, creating significant public health consequences. In diabetes, hypertension is an...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics